| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
246 |
229 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
133 |
121 |
$11K |
| 99233 |
Prolong inpt eval add15 m |
161 |
57 |
$9K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
111 |
98 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
110 |
93 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
57 |
53 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
12 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
80 |
70 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
30 |
13 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
16 |
13 |
$752.91 |
| 81002 |
|
14 |
12 |
$36.40 |